NASPAC-NJ PLLC
NPI 1073857256
Pain Medicine - Interventional Pain Medicine in Paoli, PA

Active since November 12, 2012CLIA 39D2071049 · Waiver
2 INDUSTRIAL BLVD, PAOLI, PA 19301(484) 879-6508 Get Directions Write a Review

NPPES record last updated: June 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Naspac-nj Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NASPAC-NJ PLLC (NPI 1073857256) is a healthcare organization registered as an interventional pain medicine in Paoli, Pennsylvania and active in the NPI registry since November 2012. The organization holds a CLIA Waiver certificate valid through January 1, 2028 and lists Renee Bogdol, Revenue Cycle Director, as its authorized official.

NPPES Registry Identity

NPI1073857256
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameNASPAC-NJ PLLC
Location Address2 INDUSTRIAL BLVDPaoli, PA 19301-1645
Mailing Address2 Industrial BlvdPaoli, PA 19301-1645 · (484) 879-6508
Organization SubpartNo
Authorized OfficialRenee BogdolRevenue Cycle Director · (609) 845-3988
Enumeration DateNovember 12, 2012
Last NPPES UpdateJune 14, 2024
NPPES CertifiedJune 14, 2024
NPI 1073857256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
2 INDUSTRIAL BLVD, Paoli, PA 19301

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2071049

Naspac - Nj - LLC · Paoli, PA
Active · expires Jan 1, 2028
CLIA Number39D2071049
Laboratory TypePhysician Office
Certificate Effective DateJanuary 2, 2026
Certificate Expiration DateJanuary 1, 2028
Laboratory DirectorDr. Sunil A. Chandy
Laboratory Phone(484) 879-6508
Laboratory LocationNaspac - Nj - LLC2 Industrial Blvd, Suite 210, Paoli, PA 19301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
2 INDUSTRIAL BLVD, SUITE 110
PAOLI, PA 19301
Oral & Maxillofacial Surgery
2 INDUSTRIAL BLVD, BLDG 3 SUITE 125
PAOLI, PA 19301
Internal Medicine (Hematology & Oncology)
2 INDUSTRIAL BLVD, STE 110
PAOLI, PA 19301
Internal Medicine (Hematology & Oncology)
2 INDUSTRIAL BLVD, STE 110
PAOLI, PA 19301
Internal Medicine (Hematology & Oncology)
2 INDUSTRIAL BLVD, STE 110
PAOLI, PA 19301
Pediatrics
2 INDUSTRIAL BLVD
PAOLI, PA 19301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Naspac-Nj PLLC's NPI number?

The NPI number for Naspac-Nj PLLC is 1073857256. It was assigned to this organization in the NPPES registry on November 12, 2012.

Where is Naspac-Nj PLLC located?

Naspac-Nj PLLC is located at 2 Industrial Blvd, Paoli, PA 19301. The listed phone number is (484) 879-6508.

What is Naspac-Nj PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Does Naspac-Nj PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2071049) is associated with this NPI, valid through January 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Naspac-Nj PLLC was last updated on June 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.